The Affordable Care Act - the health insurance reform legislation passed by Congress and signed into law by President Obama on March 23, 2010 - required health plans to cover recommended preventive services without cost sharing. Learn more about the Affordable Care Act by clicking here.

FPS is a limited-benefit Medicaid program that provides services for the prevention of or delay of pregnancy and for the diagnosis and treatment of sexually transmitted infections (STIs). FPS is a category of medical assistance which may be available to both men and women who apply for Ohio Medicaid.

Reproductive and sexual health care services can help prevent unintended pregnancy, HIV, and other STIs. Supporting access to affordable contraceptive services can reduce unintended pregnancy. Health services can also help promote knowledge about, and compliance with, recommended screening and vaccination for specific STIs.

Healthy reproductive and sexual practices can play a critical role in enabling people to remain healthy and actively contribute to their community. Planning and having a healthy pregnancy is vital to the health of women, infants, and families and is especially important in preventing teen pregnancy and childbearing, which will help raise educational attainment, increase employment opportunities, and enhance financial stability. Access to quality health services and support for safe practices can improve physical and emotional well-being and reduce teen and unintended pregnancies, HIV/AIDS, viral hepatitis, and other sexually transmitted infections (STIs).

Screenings for cervical cancer and/or Mammograms (when indicated by a breast examination during a routine or periodic family planning visit)

Immunization vaccines for children from birth to age 18 -doses, recommended ages, and recommended populations vary: Hepatitis A, Hepatitis B, and Human Papillomavirus are covered immunization services for children who receive medical assistance through FPS.

HPV immunization (Gardasil®) for individuals aged 9-26 years to assist in the preventionof certain types of cancers and/or genital warts caused by HPV, if the immunization is associated with a reproductive visit related to the prevention of or delay of pregnancy.

Treatment of a yeast infection: FPS may cover treatment of a yeast infection which wasdiagnosed as an STI by a medical provider during a family planning visit for the prevention of or delay of pregnancy

FPS also offers prevention counseling and screening for adolescents and adults for STIs.

Some procedures and services may require your provider to request prior authorization of coverage

You may ask your CDJFS for necessary Non-Emergency Transportation (NET) assistance for travel to and from providers who provide services covered under the FPS program. You cannot receive NET services for any services not covered by FPS.

If you receive an FPS card, you have limited coverage medical assistance through the Ohio Medicaid program. The services are limited to those listed above and in the cited sections of the Ohio Administrative Code.

There are a numerous medical assistance programs offered through the Ohio Medicaid program. If you are approved for FPS, it means you did not qualify for any other programs, but were found to be income eligible for FPS. If you do not wish to receive an FPS card, tell your case worker, and he/she can terminate the FPS coverage.

You should have received written notices in the mail informing you that your coverage was changing. You have the right to appeal the change within 90 days of the change by requesting a state hearing. If you want to request a state hearing, you can call 866-635-3748, send a facsimile request to (614)728-9574 or email BCSP@medicaid.ohio.gov.

FPS certification periods are 12 months in length. You will be eligible to receive FPS as long as your countable income does not exceed 200% of the Federal Poverty Level. In 12 months, your case worker will review your eligibility to see if you will still qualify for FPS coverage.

Individuals, who are post menopausal or previously had sterilization surgery, will not benefit from the FPS program as visits for STI treatment and diagnosis, mammograms, etc. must be associated with a reproductive visit relative to the prevention of or delay of pregnancy.